Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.75 / $276.61 / $859.20	Facility		$170.75	$276.61	$859.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $184.41 / $785.17	Professional		$154.02	$184.41	$785.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.55 / $206.57 / $779.80	Facility		$147.55	$206.57	$779.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $215.98 / $414.06	Professional		$109.08	$215.98	$414.06
Florida Blue Facility/Professional Professional Modifier Low / Median / High Price $124.48 / $124.48 / $1,105.02	Professional		$124.48	$124.48	$1,105.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.19 / $136.92 / $355.72	Professional		$133.19	$136.92	$355.72
United Facility/Professional Professional Modifier Low / Median / High Price $72.61 / $118.87 / $368.37	Professional		$72.61	$118.87	$368.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $207.46 / $207.46	Professional		$207.46	$207.46	$207.46